LONGVIEW WELLNESS CENTER INC NPI 1942269493

NPI Information

NPI: 1942269493
Provider Name: LONGVIEW WELLNESS CENTER, INC

Doing Business As: WELLNESS POINTE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1107 E MARSHALL AVE
LONGVIEW, TX
ZIP 75601
Phone: (903) 758-2610
Get Directions

LONGVIEW WELLNESS CENTER, INC is a federally qualified health center (fqhc) clinic center in Longview, TX. LONGVIEW WELLNESS CENTER, INC NPI is 1942269493. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellness Pointe.

The provider's business location address is:

1107 E MARSHALL AVE
LONGVIEW, TX
ZIP 75601-602
Phone: (903) 758-2610
Fax: (903) 758-3124

The provider's authorized official is Timothy Chad Jones .
The authorized official title is Ceo and has the following contact phone number (903) 758-2610.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 1/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	208D00000X	General Practice				No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
4	1041C0700X	Social Worker	Clinical	11004	TEXAS	No
5	1223G0001X	Dentist	General Practice	19170	TEXAS	No
6	207V00000X	Obstetrics & Gynecology				No
7	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	180330601	MEDICAID	TEXAS
2	111796203	MEDICAID	TEXAS
3	183824501	MEDICAID	TEXAS
4	081382602	MEDICAID	TEXAS
5	111796201	MEDICAID	TEXAS
6	111796204	MEDICAID	TEXAS
7	081382603	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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